46D2138752 CLIA NUMBER - WALMART PHARMACY 10-1768

Laboratory Demographics

  • CLIA Code: 46D2138752
  • Facility Name: WALMART PHARMACY 10-1768
  • Facility Address: 1355 SANDHILL RD
    OREM, UT
    ZIP 84058
  • Facility Phone: 801 221-0700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACI S. WRIGHT
  • NPI Number: 1487749776
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 46D2138752
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1768
Street 1355 SANDHILL RD
City OREM
State UT
ZIP 84058
Phone 801 221-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Pharmacy
Lab Director STACI S. WRIGHT

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This page was last updated on: 9/29/2025